Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.51 / $50.51 / $50.51	Facility		$50.51	$50.51	$50.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $50.51 / $50.51	Professional		$29.91	$50.51	$50.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.06 / $66.33 / $66.33	Professional		$53.06	$66.33	$66.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.39 / $200.02 / $364.31	Facility		$100.39	$200.02	$364.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $66.33 / $89.55	Professional		$63.01	$66.33	$89.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.11 / $43.11 / $43.11	Facility		$43.11	$43.11	$43.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.06 / $53.06 / $53.06	Professional		$53.06	$53.06	$53.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $49.23	Facility		$39.86	$39.86	$49.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $41.94 / $55.16	Professional		$33.88	$41.94	$55.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $47.94 / $47.94 / $50.51	Facility		$47.94	$47.94	$50.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $48.21 / $67.65	Professional		$19.97	$48.21	$67.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $49.38 / $66.25	Professional		$35.64	$49.38	$66.25
United Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $31.15 / $47.48	Professional		$22.02	$31.15	$47.48